Vital Records Death Reporting (VRDR) FHIR Implementation Guide
2.2.0 - STU 2.2 United States of America flag

This page is part of the Vital Records Death Reporting FHIR Implementation Guide (v2.2.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: DeathCertificate Example1 - XML Representation

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<Composition xmlns="http://hl7.org/fhir">
  <id value="DeathCertificate-Example1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/vrdr/StructureDefinition/vrdr-death-certificate"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Composition</b><a name="DeathCertificate-Example1"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource Composition &quot;DeathCertificate-Example1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vrdr-death-certificate.html">Death Certificate</a></p></div><p><b>Filing Format</b>: Electronic <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vrdr-filing-format-cs.html">Filing Formats CodeSystem</a>#electronic)</span></p><p><b>Replacement Status of a Death Record (deprecated)</b>: original record <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vrdr-replace-status-cs.html">Replacement Status of Death Record Submission</a>#original)</span></p><p><b>State Specific Field</b>: State Specific Content</p><p><b>status</b>: final</p><p><b>type</b>: Death certificate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#64297-5)</span></p><p><b>date</b>: 2020-11-15 16:39:54-0500</p><p><b>author</b>: <a href="Practitioner-Certifier-Example1.html">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</p><p><b>title</b>: Death Certificate</p><h3>Attesters</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style="display: none">*</td><td>legal</td><td>2020-11-14 16:39:40-0500</td><td><a href="Practitioner-Certifier-Example1.html">Practitioner/Certifier-Example1</a> &quot; BLACK&quot;</td></tr></table><h3>Events</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td>103693007 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#103693007)</span></td><td><a href="Procedure-DeathCertification-Example1.html">Procedure/DeathCertification-Example1</a></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/FilingFormat">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-filing-format-cs"/>
        <code value="electronic"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/ReplaceStatus">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-replace-status-cs"/>
        <code value="original"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/vrdr/StructureDefinition/StateSpecificField">
    <valueString value="State Specific Content"/>
  </extension>
  <status value="final"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="64297-5"/>
      <display value="Death certificate"/>
    </coding>
  </type>
  <subject>
    <reference value="Patient/Decedent-Example1"/>
  </subject>
  <date value="2020-11-15T16:39:54-05:00"/>
  <author>
    <reference value="Practitioner/Certifier-Example1"/>
  </author>
  <title value="Death Certificate"/>
  <attester>
    <mode value="legal"/>
    <time value="2020-11-14T16:39:40-05:00"/>
    <party>
      <reference value="Practitioner/Certifier-Example1"/>
    </party>
  </attester>
  <event>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="103693007"/>
      </coding>
    </code>
    <detail>
      <reference value="Procedure/DeathCertification-Example1"/>
    </detail>
  </event>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DecedentDemographics"/>
      </coding>
    </code>
    <entry>
      <reference value="Patient/Decedent-Example1"/>
    </entry>
    <entry>
      <reference value="RelatedPerson/DecedentFather-Example1"/>
    </entry>
    <entry>
      <reference value="RelatedPerson/DecedentMother-Example1"/>
    </entry>
    <entry>
      <reference value="RelatedPerson/DecedentSpouse-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentAge-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/BirthRecordIdentifier-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentEducationLevel-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentMilitaryService-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentUsualWork-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/InputRaceAndEthnicity-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/EmergingIssues-Example1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DeathInvestigation"/>
      </coding>
    </code>
    <entry>
      <reference value="Observation/ExaminerContacted-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentPregnancyStatus-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/TobaccoUseContributedToDeath-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/AutopsyPerformedIndicator-Example1"/>
    </entry>
    <entry>
      <reference value="Location/DeathLocation-Example1"/>
    </entry>
    <entry>
      <reference value="Location/InjuryLocation-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/InjuryIncident-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DeathDate-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/SurgeryDate-Example1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DeathCertification"/>
      </coding>
    </code>
    <entry>
      <reference value="Practitioner/Certifier-Example1"/>
    </entry>
    <entry>
      <reference value="Procedure/DeathCertification-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/MannerOfDeath-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/CauseOfDeathPart1-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/CauseOfDeathPart1-Example2"/>
    </entry>
    <entry>
      <reference value="Observation/CauseOfDeathPart2-Example1"/>
    </entry>
  </section>
  <section>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/vrdr/CodeSystem/vrdr-document-section-cs"/>
        <code value="DecedentDisposition"/>
      </coding>
    </code>
    <entry>
      <reference value="Location/DispositionLocation-Example1"/>
    </entry>
    <entry>
      <reference value="Organization/FuneralHome-Example1"/>
    </entry>
    <entry>
      <reference value="Observation/DecedentDispositionMethod-Example1"/>
    </entry>
    <entry>
      <reference value="Practitioner/Mortician-Example1"/>
    </entry>
  </section>
</Composition>